Lee Chen-Hsiang, Liu Jien-Wei
Division of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan, Republic of China.
South Med J. 2004 Nov;97(11):1104-6. doi: 10.1097/01.SMJ.0000136275.95158.FA.
We report a case of subcutaneous emphysema and pneumomediastinum secondary to pyomyositis and necrotizing fasciitis over the right arm of a woman with underlying diabetes mellitus and iatrogenic Cushing syndrome. Gas produced by the culprit pathogen extensively dissected the subcutaneous fat and fascia of the patient's right arm and distantly spread to her face, neck, back, and thoracic wall and penetrated the soft tissue cephalically bordering her sternum, resulting in pneumomediastinum. The patient improved-with antimicrobial therapy and localized debridement and fasciotomy over her right arm.
我们报告了一例皮下气肿和纵隔气肿的病例，该病例继发于一名患有基础糖尿病和医源性库欣综合征的女性右臂的脓性肌炎和坏死性筋膜炎。致病病原体产生的气体广泛地分离了患者右臂的皮下脂肪和筋膜，并远距离扩散至她的面部、颈部、背部和胸壁，且向头侧穿透了毗邻其胸骨的软组织，导致纵隔气肿。患者通过抗菌治疗以及右臂局部清创和筋膜切开术病情好转。
